Medical Renal / Dialysis Registered Nurse

The Home Therapy Registered Nurse, as qualified by

federal and state regulations, provides patient training and

ongoing support for all patients choosing a home dialysis modality.

This position is accountable for providing quality care to all

patients and is committed to delivering superior customer service

in all internal and external interactions. A Home Therapy nurse

trains home hemo or peritoneal dialysis patients in-center and

sometimes in the patient’s home. We Will Train - In-center

hemodialysis, critical care, and home health are great backgrounds.

Work Schedule - Monday through Friday, 8am to 5pm; Modified

schedules are possible based on patient caseload at the facility.

Competitive on-call pay when placed in on-call rotation. Holidays -

Home Training Nurses rarely work on a holiday. We lead the industry

in clinical quality improvement, delivering amongst the best

patient outcomes in the U.S. as measured by the CMS ESRD Quality

Incentive Program. We remain an industry leader in home dialysis

with 17% of dialysis treatments delivered in our patients' homes.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other

duties and tasks may be assigned. Knowledge of and comply with

federal, state, local laws and regulations, including health care

professionals practice act requirements as they pertain to home

dialysis program and patient care requirements. Train patient

(and / or care partner) in the practice of self-care Peritoneal

Dialysis or Hemodialysis upon meeting federal and state regulations

governing Registered Nurse qualifications. Conduct home visits to

assess the patient's home environment per policy; initially and

minimally annually thereafter. Routinely evaluate patient

performance and assess the home environment more frequently as

needed to improve care. Communicate results of patient assessment,

reassessment, and ongoing monitoring to the physician, team

members, and others as appropriate to the individual needs of the

patient. Document all nursing services in the Electronic Medical

Record including but not limited to training sessions, routine and

non-routine in-person interactions, and phone conversations.

Documentation should accurately reflect the patient status and

nursing interventions and be written to ensure continuity of care.

Participate in infection control monitoring, implementation, and

recording as requested. Be familiar with emergency equipment and

all emergency operational procedures. Communicate and regularly

review Emergency Preparedness procedures with all home patients,

including but not limited to emergency disconnection from dialysis

equipment, what to do and who to contact if displaced from home.

Ensure clinic and patient supply inventory and usage is appropriate

for patient prescriptions and place orders in timely manner to

avoid fees and penalties. Continually seek to improve patient and

quality outcomes through tracking and trending of program and

patient performance, use of critical thinking skills and root cause

analysis to improve patient and quality outcomes. Assist in

obtaining data for the continuous quality improvement activities.

Obtain routine and non-routine laboratory tests as ordered and

communicate critical lab values and urgent patient needs to the

responsible physician or physician extender in a timely manner.

Complete and document monthly review of patient medication

profiles. Administer medications as ordered by the physician.

Responsible for performing on call nursing services, nights and

weekends, on a rotational basis as needed or assigned. Flexible

with staffing locations and hours to accommodate patient and USRC

home program needs. Regular and reliable attendance is required for

the position. Home Hemodialysis Only : Coordinate home evaluation

with technical services department to ensure that the necessary

electrical, plumbing and drainage requirements for proper equipment

operation are met prior to patient acceptance into home program.

Ensure required and appropriate water sampling is complete per

policy and product requirements. Monitor and report water sample

and culture results. QUALIFICATIONS / REQUIREMENTS : To perform this

job successfully, an individual must be able to perform each

essential duty satisfactorily. Requirements include : Current RN

license in applicable state. License must be maintained as current

and in good standing. 12 months of clinical experience in providing

nursing care and 3 months of experience in the specific modality

for which the nurse will provide home dialysis training, except in

states with a more stringent requirement such as Texas, which

requires at least 6 months experience in the specific home

modality. Previous experience in providing nursing care to patients

on maintenance dialysis preferred. CPR certification required prior

to patient care assignment. Confirmation of ability to distinguish

all primary colors. Must successfully complete the Home Therapy

Nurse Orientation program and maintain annual demonstration of

skills and competency applicable for the modality assigned.

Demonstrated working knowledge of the English language and ability

to communicate verbally and in writing. Must have basic computer

skills; proficiency in all USRC clinical applications required

within 90 days of hire. Must meet any practice requirement(s) for

the applicable state. Ability to meet minimum hiring standards

which may include additional background clearances and orientation

requirements if applicable to the program assigned to for

employment. U.S. Renal Care is an Equal Opportunity

Employer / Disabled / Veteran. All Full Time employees are eligible for

the following benefits :

• Medical / Pharmacy
• Dental
• Vision

Voluntary benefits

Insurance

eligible for the following benefits :

PTO